Loading...
HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Jamie Aldama - 1/24/2014POLITICAL OF - CAMPAIGN FINANCE REPORT 1 Jamie Aldama Full Name of Committee 7329 N68th Dr Address Glendale 85303 Maricopa 623-206-7867 City 'LIP Code County Phone 2. Jamie Aldama Glendale City Council -Ocotillo District Sponsoring Organization or Candidate and office Jamie Aldama Glendale City Council -Ocotillo District Nam of Candidate and Office Sought (if applicable) efectaidama@g maif.com 4. REPORTING PERIOD (Please check appropriate box) 3A. IN 13-04 FOR (QlT1E US"E)R K CITY OF GLENDALE 2014 JAN 24 AM 60: 2 DUE BETWEEN January 31 Report . For Period of 10-7-2013 * thru December 31, 2013, January 1, 2014 and January 31, 2014 June 30 Report - For Period of January 1, 2014 thru May 31, 2014.June 1, 2014 and June 30, 2014 ................................................. Pre -Primary Election Report - For Period of June 1, 2014 thru August 14, 2014. August 15, 2014 and August 22, 2014 1 1 post -Primary Election Report - For Period of August 15, 2014 thru September 15, 2014. September 16, 2014 and September 25, 2014 Pre -General Election Report - For Period of September 16, 2014 that October 23, 2014. October 24, 2014 and October 31, 2014 Post -General Election Report - For Period of October 24, 2014 thru November 24, 2014......... ...... November 25, 2014 and December 4, 2014 ..... **January 31 , Report - For Period of November 25, 2014 thru December 31, 2015. January 1, 2016 and January 31, 2016 5. SUMMARY Column A Total This Reporting Column B Election Period Period Total To Date 0 5a Surplus from Previous Campaign (or at time Statement of Organization was filed for the new committee) 5b Cash on Hand at the Beginning of this Reporting Period 0 5c Total Receipts (from corresponding columns on Detailed Summary Page, Line 8) $150-00 $150.00 $150.00 1 ®,®V 5d Subtotal [add Lines b and c for Column A and add lines a and c for Column B] 6a Total Debts and Obligations from Previous Campaign Committee at Beginning of this Election Period (or at time Statement of Organization was filed for the new committee) [Do not add or subtract this line from the other lines] 11. 7 11 . /'j 2 6b Total Disbursements (from corresponding columns on Detailed Summary Page, Line 18) $138.28 $133.23 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d *Insert date which is 21 days after date of last election (A.R.S. **Other reports will be due before this reporting period if a special or recall election is held prior to the next general election. Revised 9/13 6 N 11R A 11 M N 1. Committee Name: ('ammitteet(t F.r I�rt l,.a[�j� A,fd.gmn 3. Report covering period from 10-7-2014 7hru a q_20q RECEIPTS 4. Contributions other than loans and in-kind: (a) Individuals - more than $50 (Total from Schedule A) (b) Individuals - aggregate $50 or less (Total from Schedule A-1) (c) Political Committees (Total from Schedule B) (d) Subtotal Contributions [add 4(a), 4(b), and 4(c)] (e) Refund of contributions (Total from Schedule F-2) (f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)] 5. (a) Loans made or guaranteed by candidate (Total from Schedule C) (b) All other loans (Total from Schedule C-1) (c) Total Loans [add 5(a) and 5(b)] 6. in-kind contributions (Total from Schedule E) 7. Dividends, interest, and other forms of receipts (Total from Schedule F-1) 8. Total Receipts [add 4(f), 5(c), 6, and 7] DISBURSEMENTS Page 2 2. ID# 13-04 COLUMN A THIS PERIOD COLUMN 8 CAMPAIGN TO DATE 1$100.001$100.00 9. Expenditures for operating expenses (Total from Schedule D) 1$11.72 $11.72 10. Independent Expenditures (Total from Schedule D� 1) 11. Value of In-kind expenditures (Total from Schedule E) 12. Loans made by reporting committee (Total from Schedule 0-2) 13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4) (b) Repayment of all other loans (Total from Schedule D-5) (c) Total Loan Repayments [add 13(a) and 13(b)] 14. Transfers to other political committees (Total from Schedule D-6) 15. Any other disbursement (Total from Schedule 0-7) 16. Subtotal disbursements [add lines 9, 10, 11, 12,13(c), 14, and 15] $11.72 $11,72 17. Rebates, refunds and other offsets to operating expenses (Total from Schedule 0-3) 18. Total disbursements [subtract line 17 from line 161 $11.72 $11.72 19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3) 20. 1 certify, under penalty of perjury, that 1 h xa ined the contents of this campaign finance report and to the best of my knowledge and belief it is true and complete. Jamie Aidama Type or print Name of Tre Ter 1/24/2014 Signature of T easurer or Candidate or Designating Individual Date 1. Committee Name Committee to Elect Jamie Aldama 3. Report covering period from 10/7/2013 thru 12/31/2013 SCHEDULE 2. ID # 13-04 4 CONTRIBUTIONS DATE RECEIVED AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a. LAST FIRST MI Seese Edward M 10/31/13 $100.00 $100.00 STREET ADDRESS 10629 W Coggins Or CITY STATE ZIP Suncity AZ 85351 OCCUPATION Coach WePtiOrey9 (� b. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER C. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER d. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER e. LAST FIRST MI STREET ADDRESS CITY STATE ZIP OCCUPATION EMPLOYER 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed Summary Page Line 4(z), Column A] $100.00 $100.00 If contributions of $50 or less are listed with contributors name, address, occupation and employer on Schedule A, do not include them on Schedule A-1. Page of Committee to Elect Jamie Aldama Committee Name SCHEDULE A-1 2. lD# 13-04 3. Report covering period from 1017/2013 thru 12/31/2013 DESCRIPTION AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE Jamie Aldama $25.00 $25.00 George Garcia $25.00 $25.00 5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b), $50.00 6. CUMMULATIVE TOTAL THIS $50.00 Column A] CAMPAIGN TO DATE [Transfer total to Detailed Summary Page, Line 4(b), Column BI 1f contributions of $50 or less are listed with contributor's name and address on Schedule A, do not include them on this schedule. ii 1 671 9jTjjff Wpm 1. Committee Name 3. Report covering period from 2. ID # 4 CONTRIBUTIONS AMOUNT RECEIVED THIS PERIOD CUMULATIVE TOTAL THIS CAMPAIGN TO DATE IDENTITY OF CONTRIBUTOR AND DATE RECEIVED 4a ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVE b. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED C. ID # NAME, DRESS, CITY, STATE AND ZIP DATE RECEIVED d. ID # NAME, ADDRESS, Cl STATE AND ZIP DATE RECEIVED e. ID # NAME, ADDRESS, CITY, STATE ANZIP DATE RECEIVED f. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED g. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED h. ID # NAME, ADDRESS, CITY, STATEAND ZIP DATE RECEIVED i. ID # NAME, ADDRESS, CITY, STATE AND ZIP DATE RECEIVED 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B [If last page of Schedule B, transfer total to Detailed Summary Page, Line 4(c), Column A] Schedule B Page of CANDIDATE LOANS SCHEDULE 1. Committee Name 2. ID # 3. R port covering period from thru 4. LOA S MADE OR GUARANTEED BY CANDIDATE DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTAL THIS CAMPAIGN TO DATE NAME AND ADDRESS FROM WHOM RECEIVED 4a. NAME, ADDRE , CITY, STATE, AND ZIP DESCRIPTION b. NAME, ADDRESS, CITY, STATE, A ZIP DESCRIPTION C. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION d. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION f. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION 5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C [If last page of Schedule C, transfer total to Detailed Summary Page, Line 5(a), Column A] Schedule C Committee Name 3. Repo\111ering period from SCHEDULE C1 4 ALL OTHER LOANS CUMULATIVE DATE AMOUNT TOTAL THIS NAME AND AD ESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADDRESS OF LOAN RECEIVED OF LOAN CAMPAIGN THE POLITICAL MMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR TO DATE OF LOAN. 4a NAME OF PERSON OR COM TEE MAKING LOAN, ADDRESS, C11 Y, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF AN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 4b NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, TY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, R. ,AND ID# DESCRIPTION 4C NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# - DESCRIPTION 4d NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID# DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If last page of Schedule C-1, transfer total to Detailed Summary Page, Line 5(a), Column A] 1. Committee Name Committee to Elect Jamie Aldama 3. Report covering period from 10/7./2013 ffilu 12/3112013 2. ID# 4 EXPENDITURES DATE EXPENDITURE AMOUNT OF THE NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE MADE EXPENDITURE 4a. NAME, ADDRESS, CITY, STATE AND ZIP City of Glendale Clerk's Office. 10/17/13 $10-00 5850 W Glendale Ave, Glendale AZ 85301 ff 6PT,1ON QF IT VM OR S6RVICES PURCHASED c District. b. NAME, ADDRESS, CITY, STATE AND ZIP FedEx- 10/21/13 $1.72 9494 W Northern Ave Glendale AZ85305 DESCRIPTION OF ITEMS OR SERVICES PURCHASED FAX o. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED d, NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED a. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED f. NAME, ADDRESS, CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D /If last page of Schedule 1), transfer total to Detail Summary Page Line 9, Column A] *Expenditures, other than a contract, promise or agreement to make an expenditure restating in credit Page_ot__ SCHEDULE -1 2. ID# 1. Committee Name V. Report covering period from 4 INDEPENDENT EXPENDITURES DATE AMOUNT EXPENDITURE OF THE MADE EXPENDITURE IDEM- Y RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED 4,1. NAME, ADDR S, CITY, S"FATE AND ZIP PURPOSE AND DESCRIPTION PURCHASE Benefitted® Opposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4b. NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefi d ® Opposed CANDIDATE OFFICE SOUGHT YEAR OF ELECTION 4c, NAME, ADDRESS, CITY, STATE AND ZIP PURPOSE AND DESCRIPTION OF PURCHASE Benefitted 0 Opposed CANDIDATE OFFICE SOUGHT YEA OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 (If last page of Schedule D-1, transfer al to Detailed Summary Page Line 10, Column A) 'SEE A.R.S. § 16-901(14). I certify, under pently of perjury, that the above stated independent expenditure(s) was not m request or suggestion of any candidate or any campaign committee or agent of that candid Signature of Treasurer NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP SIX MONTHS in cooperation, consultation or concert with or at the WITHIN THE LAST I AMOUNT D-1 Page_of 1. Committee Name \ Rannrt cnverinO Deriod from th ru SCHEDULE -2 2. ID # 4 LOANS MADE BY THE REPORTING COMMITTEE DATE LOAN MADE AMOUNT OF THE LOAN NAME, DDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE 4a. NAME, ADD: SS, CITY, STATE, ZIP, AND ID# b. NAME, ADDRESS, CITY, TATE, ZIP, AND ID# a NAME, ADDRESS, CITY, STATE, P, AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP, AND # e. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# f. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# g. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# h. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# i. NAME, ADDRESS, CITY, STATE, ZIP, AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfertotal to Detail Summary Page Line 12, Colu n AJ 4a. 1. Committee Name 3.R ort covering period from th 2. ID # SCHEDULE D-3 REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE REFUND RECEIVED AMOUNT OF THE REFUND AME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEIVED NAME, ADDRESS, CO,STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION OF REFUND 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-3 [If last page of Schedule D-3, transfer total to Detailed Summary Page Line 17 Column A] Includes return of contributions made by reporting committee 4a. 2. ID# C mmittee Name Repot covering period from SCHEDULE D-4 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE DATE REPAYMENT MADE AMOUNT OFTHE REPAYMENT N1\E AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE NAME, ADDRESS, CITY, S-", TE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP NAME, ADDRESS, CITY, STATE, AND ZIP ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column A) S& TEPAYMENT OF ALL OTHER LOANS SCWEDULE AM 2, ID # 1. Committee Name Xport covering period from 4 REPAYMENT OF ALL OTHER LOANS DATE REPAYMENT MADE AMOUNT OFTHE REPAYMENT NAME AN ADDRESS OF INDIVIDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, C Y, STATE, ZIP AND ID# b. NAME, ADDRESS, CITY, STATE, ZIP AN ID#E C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A] ., 0 2. ID # Committee Name Rep t covering period from SCHEDULE -6 4 TRANSFERS MADE BY THE REPORTING COMMITTEE DATE TRANSFER MADE AMOUNT OF THE TRANSFER NAME AND DRESS OF INDIVIDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) O WHOM REPAYMENT (DISBURSEMENT) WAS MADE 4a. NAME, ADDRESS, CITY, STA ZIP AND ID# b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A] 1. Committee Name 3. Rbj oZt covering period from SCHEDULE D-7 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] ANY OTHER DISBURSEMENTS DATE DISBURSEMENT MADE AMOUNT OF THE DISBURSEMENT NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM DISBURSEMENT WAS MADE; DESCRIPTION a. NAME, ADDRESS, CITY, S TE, ZIP AND ID# DESCRIPTION b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION d. NAME, ADDRESS, CITY, STATE, ZIP AND Off DESCRIPTION e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A] M -KIND CONTRIBUTIONS • EXPENDITURES 1. Committee Name 3. Report coverinq period from 2. yID# 4 IN-KIND CONTRIBUTIONS and EXPENDITURES DATE FAIR MARKET VALUE )NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE OLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME, ADDRESS, CIT STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION ° ° EXPENDITURE ° ° DESCRIPTION OCCUPATION EMPLOY c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# CONTRIBUTION' ° EXPENDITURE DESCRIPTION OCCUPATION EMPLOYER 5. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Det aile ummary Page Line 6, Column A] 6. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [if last page of Schedule E, transfer total to Detailed Summa age Line 11, Column A] 2. ID# 1. Committee Name 3covering period from SCHEDULE F-1 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS DATE AMOUNT RECEIVED AMOUNT OF THE RECEIPT NAME A D ADDRESS FROM INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED 4a, NAME, ADDRESS, CITY, 7 -ATE, ZIP AND ID# DESCRIPTION OF RECEIPT b. NAME, ADDRESS, CITY, STATE, ZIP AN ID# DESCRIPTION OF RECEIPT C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF RECEIPT 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 (Iflast page of Schedule F-1, transfer total to Detailed Summary Page Line 7 Column A Com\tt-,,N.me Repoing period from 2. ID # SCHEDULE F-2 4 R UNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED DATE REFUND MADE AMOUNT OF THE REFUND NAME AND ADDRES OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE a. NAME, ADDRESS, CITY, STATE, IP AND ID# I DESCRIPTION OF REFUND I \- :I b. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND C. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND f. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF REFUND ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 [If last page of Schedule F-2, transfer total to Detailed Summary Page, Line 4(E), Column AJ Includes return of contributions received by reporting committee 1. Committee Name 1 3. Rewrfloverina Deriod from thrU SCHEDULE F- 2. ID # I 4 D11kTS AND OBLIGATIONS OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT INCURRED THIS PERIOD PAYMENT THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD NAME AND ADD =SS OF INDIVIDUAL (OR NAME, ADDRESS AN ID# OF THE POLITICAL COMMITTEE) TNWHOM DEBT IS OWED a. NAME, ADDRESS, CITY, TATE, ZIP AND ID# DESCRIPTION OF DEBT b. NAME, ADDRESS, CITY, STATE, ZIP AND I'\\ DESCRIPTION OF DEBT c. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT d. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT e. NAME, ADDRESS, CITY, STATE, ZIP AND ID# DESCRIPTION OF DEBT 5. ENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHEDULE F-3 [Transfer total to Detail Summary Page Line 19, Column A]